Endometrium shows hyperplastic endometrial glands, is non-secretory, it is formed of slightly branched glands lined by 1-2 layers of cells. Stroma is cellular. No evidence of complex glandular pattern. Some of the hyperplastic endometrium are seen embedded within superficial myometrium. Myometrial tumor is a benign leiomyoma formed of whorly bundles of mature smooth muscles and separated by a fibrous stroma. No evidence of malignancy.
Cervix shows Nabothian cysts with moderate endocervicitis.
Both ovaries shows cystic follicles and corpora albicans.
Rt. ovary shows hemorrhagic luteal cyst. Both ovaries show fibrotic cyst walls showing broad and sessile fibrotic projections covered by non-mucigenic low cells. Rest of cyst wall is lined by same type of cells.
No evidence of epithelial piling up.
Fallopian tubes are unremarkable.
No evidence of atypia or malignancy.
Abnormal uterine bleeding.
Panhysterectomy specimen:
The uterus measured 9.5 x 7 x 4.5 cm with a myometrial thickness of 2.3 cm and an endometrial thickness of 0.6 cm. The cervix measured 3 cm in length. On sectioning, the myometrium showed a small fibroid mass measuring 0.6 cm. The left ovary measured 2.8 x 1.5 x 1.3 cm, showing three cysts, with the largest measuring 0.4 cm.
The right ovary measured 3 x 2 x 1.3 cm, showing a cyst measuring 1 cm. Both the right and left fallopian tubes measured 5 cm and were grossly unremarkable.
Panhysterectomy: